Coder I

OverviewDignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California, Arizona and Nevada. Today, Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve. As Dignity Health Medical Foundation continues to grow and establish new premier care centers, we provide increasing support and investment in the latest technologies, finest physicians and state-of-the-art medical facilities. We strive to create purposeful work settings where staff can provide great care, while advancing in knowledge and experience through challenging work assignments and stimulating relationships. Our staff is well-trained and highly skilled, qualities that are vital to maintaining excellence in care and service.ResponsibilitiesPosition Summary:The Coder reviews, analyzes, and approves codes for diagnostic and procedural information that determines Medicare, Medi-Cal and private insurance payments. The primary function of this position is to perform ICD-10-CM, CPT and HCPCS coding for reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. The Coder shall review ICD-10-CM, CPT and HCPCS codes against documented information for Dignity Health Medical Foundation clinical encounters. Assures the final diagnoses and operative procedures as stated by the physician are valid and complete. Reviews necessary information from health records to identify proper and congruent relationships between procedure and diagnosis codes utilizing EndCoder systems, LCD's, NCD's and modifier relationships.The Coder determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete. The coder shall open lines of communication with the health care professional and resolve discrepancies in coding practices and provide education as needed. Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered. Analyzes provider documentation to assure the appropriate Evaluation & Management (E & M) levels are assigned using the correct CPT code using both 1995 and 1997 CMS guidelines for auditing. Additional duties as assigned.QualificationsMinimum Qualifications:

High school diploma (or equivalent) required

Current CCP certification required

Requires:

Working knowledge of medical codes involving selections of most accurate and description code using the ICD-9-CM, Volumes 1- 3, CPT, and HCPCS coding conventions

Working knowledge of medical terminology, abbreviations, techniques and surgical procedures; anatomy and physiology

Working knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes

Effective communication skills

Ability to communicate effectively with all levels within the organization

Intermediate level of Microsoft Office systems including Excel and Word required

Requires travel to meet with and educate providers in remote clinic locations

Preferred Qualifications:

Six (6) to twelve (12) months of coding experience is preferred

CCS-A or CPC-A certification preferred

Working knowledge of Endcoder systems preferred

Connect With Us!Not ready to apply, or can't find a relevant opportunity?to learn more about a career at Dignity Health and experience #humankindness.Equal OpportunityDignity Health is an Equal Opportunity/ Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, pleaseDignity Health will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c).External hires must pass a post offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request . We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA).Dignity Health participates in E-verify.Employment Type Full TimeDepartment Physician CodingHours / Pay Period 80Facility Dignity Health Medical Group RegionShift DayStandard Hours Monday - Friday (8am to 5pm)Work Schedule 8 HourLocation CA-Rancho Cordova